Personalised care planning for older people with frailty ISRCTN16123291. If choosing remote methods, consider the practicality of using videoconferencing and think about the possible impact of telephone assessment on the relationship with the (potential) research participants. Researchers should weigh up the pros and cons for each individual study, especially those involving older adults. However, as we have found, telephone testing is not always straightforward. The MoCA is a useful tool when cognitive impairment is part of screening and data collection and it is helpful to have the option to use the test remotely. We discuss the potential impact of these issues on trial recruitment and participant engagement, and the feasibility of videoconferencing as an alternative method of conducting the MoCA. It was hard for the researchers to judge the emotional impact that undertaking the assessment was having on the older people on the telephone, without visual warning signs of fatigue or mood. Some participants experienced practical difficulties when combining holding a telephone and completing one of the assessment items. We found that in comparison with conducting the assessment in-person, telephone administration caused uncertainty for the researchers about whether participants were struggling to answer questions due to cognition or hearing impairment. One of the changes was for the researchers to conduct a cognitive assessment for eligibility during an initial telephone call, rather than during the subsequent home visit for consent and baseline data collection. In response to COVID-19, a number of changes were made to the trial’s screening and recruitment procedures, to minimise the amount of time the researchers would spend in the participants’ homes when recruitment began in May 2021. Here, we reflect on our experiences of administering the MoCA Blind/Telephone as part of the initial telephone eligibility check for participation in a randomised controlled trial with community-dwelling older people with frailty. The Montreal Cognitive Assessment (MoCA) is widely used in research and is available in multiple formats for different groups and assessment settings. It is answered by the patient, family, or caregiver to indicate the presence of cognitive impairment.The COVID-19 pandemic forced many research teams to adjust the way they conduct studies, including moving to remote delivery of some or all of their recruitment and data collection processes. The questionnaire is useful to assess and monitor functional changes over time. The Functional Activities Questionnaire calculates the extent of the patient’s ability to engage in instrumental activities of daily living. Both anxiety and depression may affect cognitive assessment scores. This tool is a valid screening tool for gauging severity of generalized anxiety symptoms. More information about PHQ-9 can be found here. The PHQ-9 can be useful in clinical practice to assess depression severity and its symptoms. A score of greater than five indicates further evaluation. Score one point when the patient answer matches the test answer. The Geriatric Depression Scale can be useful for patients who have mild-to-moderate symptoms of dementia. Its use is granted by Washington University for clinical care purposes. No formal training is needed to administer the test. In combination with the Mini-COG, the AD8 is effective for detecting early cognitive change. The test consists of eight yes-or-no questions about changes in the person’s thinking, memory, and behavior. This brief 3-minute test was originally designed as an informant screening tool but has also been validated as a direct questionnaire for the patient. A one-hour Training & Certification module supports MoCA’s validity and was designed for busy medical professionals. Both an app and paper versions are available. It is easy to administer and score, and the results can be interpreted by the health provider with minimal training. The Montreal Cognitive Assessment is a quick and easy instrument that can be adapted for use in the clinical setting. This paper tool is helpful for clinics that serve linguistically diverse populations that have varying education levels. This validated short cognitive screening instrument is designed to reduce the impact of language and cultural differences on the results of screened individuals. Rowland Universal Dementia Assessment Scale (RUDAS) Training for use of this tool takes about ten minutes. This is a free tool and is available in many languages. The Mini-Cog is a three-minute instrument for the patient that consists of two components: a three-item recall test for memory and a clock drawing test.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |